| NPI | 1619272689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J. CARRIS Owner / Clinical Psychologist 970-712-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2831) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2014-05-09 |